PONDEROSA FAMILY CARE, LLC
NPI 1992321723
Clinic/Center - Rural Health in Payson, AZ
About Ponderosa Family Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PONDEROSA FAMILY CARE, LLC (NPI 1992321723) is a healthcare organization registered as a rural health in Payson, Arizona and active in the NPI registry since June 2020. The organization lists Alan P Michels, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ponderosa Family Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Ponderosa Family Care, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ponderosa Family Care, LLC's NPI number?
The NPI number for Ponderosa Family Care, LLC is 1992321723. It was assigned to this organization in the NPPES registry on June 17, 2020.
Where is Ponderosa Family Care, LLC located?
Ponderosa Family Care, LLC is located at 127 E Main St Ste D, Payson, AZ 85541. The listed phone number is (928) 468-8603.
What is Ponderosa Family Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Ponderosa Family Care, LLC enrolled in Medicare?
Yes. Ponderosa Family Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ponderosa Family Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Ponderosa Family Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ponderosa Family Care, LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Ponderosa Family Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ponderosa Family Care, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ponderosa Family Care, Llc · NPI 1992321723
Rural Health organization in Payson, Arizona. Organization record, active in the CMS NPPES registry since June 17, 2020.
## Identity
- **NPI:** 1992321723 (Entity type: Organization)
- **Enumerated:** June 17, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Alan Michels, PHYSICIAN/OWNER
## Practice location
- **Address:** 127 E MAIN ST STE D, Payson, AZ 85541-5646
- **Phone:** (928) 468-8603 · **Fax:** (928) 468-8625
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (3), Clinical Social Worker (2); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1992321723) · Data from the CMS NPPES public registry.